Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Dec 18, 2017
License(s)
4704295098 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 30 W MONROE ST STE 1200 | Chicago, IL 60603-2420 | 312-733-9730 |
| LOCATION | 27155 CHERRY HILL RD | Inkster, MI 48141-1204 | 313-749-1178 |
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